Investigation And Analysis On The Antibacterials Used In Meizhou Countryside Medical Agencies

Objectives:The phenomenon of the unreasonable use of antibacterials in the countryside agencies has aroused widespread attention.To investigate the use of antibacterials prescribed in the outpatient departments of Meizhou countryside clinics and village medical agencies,and to analyse the causes of unreasonable use of antibacterials in oder to offer some references on the management of a antibacterials used reasonably and safely to the basic medical units.Methods:Five countries were selected from the six ones of Meizhou city and ten countryside clinics and twenty village medical agencies were elected to be the investigated spots by random sampling.4000 western medicine prescriptions(up to 16000) which were made every year from 2002 to 2005 were elected by random as the investigated samples.And then these collected prescriptions were classified systematically and analyzed statistically.Results:The proportion of the antibacterials prescriptions every year from 2002 to 2005 was 96.8%,90.5%,83.45%,79.5%respectively among all the outpatient prescriptions in each year.The differences were significant(P＜0.05).The proportion of the antibacterials prescriptions used unreasonably every year from 2002 to 2005 was 92.7%,84.2%,79.1%,76.8%respectively among all the outpatient prescriptions in that year.The proportion of the prescriptions included one kind of antibacterial every year from 2002 to 2005 was 23.6%,22.5%,20.65%,19.72%respectively among all the outpatient antibiotic prescriptions; And the proportion of the two-kind of antibacterials was 55.8%,57.03%,57.85%,58.91%respectively;The proportion of the three-kind antibacterials was 16.61%,17.17%,18.72%,19.72%respectively;The proportion of the over-three-kind antibacterials was 4.26%,3.54%,3.14%,1.65%respectively.The average medical expenses of one outpatient prescription from 2002 to 2005 were 15.5,17.0,19.7,25.8 yuan respectively.Among them,the expenses of antibacterials were 76.2.%,67.2%,60.5%,57.5%respectively among all the prescription bills.The differences were significant(P＜0.05).There was the phenomenon of unreasonable use of antibacterials and the use of injection of antibacterials excessively.Conclusions:The unreasonable use of antibacterials in Meizhou countryside medical outpatient agencies showed mainly unreasonable medicine selected,unreasonable doses given,unreasonable medical preparation,unreasonable mixture of antibiotics,unreasonable used-rate of antibiotics,injection used excessively and the higher medical bills of antibacterials.